A Consumer's Guide to Health Insurance, Utilization Review, Appeals and Grievances

A Consumer's Guide to Health Insurance, Utilization Review, Appeals and Grievances PDF Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 16

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Book Description

A Consumer's Guide to Health Insurance, Utilization Review, Appeals and Grievances

A Consumer's Guide to Health Insurance, Utilization Review, Appeals and Grievances PDF Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 16

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Book Description


Guide to Appeals and Grievances

Guide to Appeals and Grievances PDF Author:
Publisher:
ISBN:
Category : Complaints (Administrative procedure)
Languages : en
Pages : 12

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Book Description
As health care coverage becomes more complex, it's easy to become bewildered and frustrated. In an effort to help you sort through this confusion, the NC Department of Insurance has designed this brochure explaining the mandatory appeal and grievance processes. This brochure will not only explain your rights as a consumer under North Carolina law, but will also explain how you can challenge a plan's decision or resolve complaints.

New York Consumer Guide to Health Insurers

New York Consumer Guide to Health Insurers PDF Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 68

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Appeals & External Review Guide

Appeals & External Review Guide PDF Author:
Publisher:
ISBN:
Category : Appellate procedure
Languages : en
Pages : 6

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Health Benefits Coverage Under Federal Law--.

Health Benefits Coverage Under Federal Law--. PDF Author:
Publisher:
ISBN:
Category : Employer-sponsored health insurance
Languages : en
Pages : 108

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Book Description


New York Consumer Guide to Health Insurers

New York Consumer Guide to Health Insurers PDF Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 68

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Book Description


Health Insurance Utilization Review Process

Health Insurance Utilization Review Process PDF Author: Alex Reger
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 7

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Book Description
Discusses utilization reviews of medical services, including the standards used in reviews, qualifications of reviewers, and rate of appeals.

Consumer Guide to Health Care Appeals

Consumer Guide to Health Care Appeals PDF Author: Arizona. Insurance Department
Publisher:
ISBN:
Category : Administrative remedies
Languages : en
Pages : 8

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Making Them Pay

Making Them Pay PDF Author: Rhonda D. Orin
Publisher: Macmillan + ORM
ISBN: 1429979100
Category : Business & Economics
Languages : en
Pages : 274

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Book Description
Most people don't understand health insurance, and insurance companies know it. Unfair denials, late payments, and hopeless confusion are the norm. At last there is a solution. In eight easy steps, Making Them Pay gives practical advice about the things that drive people crazy. Like: -Figuring out what health plans really say -Understanding what benefits they provide -Finding, and understanding, the exclusions -Determining what health plans really cost -How to talk to customer service, and other painful details -Easy ways to keep good records -Laws that can change your life-like the mandatory benefits laws in all fifty states -How to prepare successful appeals Along with this useful advice, Making Them Pay offers a much-needed sense of humor. It's filled with cartoons, sidebars, and vignettes that will make you laugh as you learn. Based on Rhonda D. Orin's extensive experience as a litigator, a journalist, and a mother fighting her own family's insurance battles, Making Them Pay is the book your health insurer doesn't want you to read. "A compact reference [that] simplifies a convoluted subject. -

Model Rules of Professional Conduct

Model Rules of Professional Conduct PDF Author: American Bar Association. House of Delegates
Publisher: American Bar Association
ISBN: 9781590318737
Category : Law
Languages : en
Pages : 216

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Book Description
The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.